Soccer Registration Form

Soccer Registration Form

Fields marked with an * are required

List any special needs or medical conditions this participant has


By checking the box below, I am acknowledging that I understand the inherent risk of injury in participation in this sports program and verify that my child is medically fit to participate.  I give my permission to the supervisors of this program to take the proper steps in case my child is in need of emergency medical attention.  I also release the sponsoring groups and their agents from any and all claims arising from this child’s participation in this activity.